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Evaluation of acute pharyngitis in adults

Evaluation of acute pharyngitis in adults
All adults presenting with acute pharyngitis should have a thorough history and physical, including assessment for risk factors for acute HIV infection and sexually transmitted infections.

COVID-19: coronavirus disease 2019; GAS: group A Streptococcus; RADT: rapid antigen detection test; HIV: human immunodeficiency virus; ARF: acute rheumatic fever.

* A sitting position with the trunk leaning forward, neck hyperextended, and chin thrust forward in an effort to maximize the diameter of the obstructed airway.

¶ Refer to UpToDate content on COVID-19 for additional detail on clinical features, testing, and infection control.

Δ Refer to UpToDate topics on evaluation of pharyngitis in adults, evaluation of the adult with dyspnea, and deep neck space infections.

◊ Refer to UpToDate content on symptomatic treatment of pharyngitis in adults.

§ Some practitioners test patients with Centor scores ≥2.

§ Refer to UpToDate topic on evaluation of pharyngitis in adults.

‡ Refer to UpToDate content on treatment and prevention of streptococcal pharyngitis.
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